Individual provider Active NPI

Milan Gupta Chavarkar, CNM, FNP

  • Family Nurse Practitioner
  • Campbell, CA
National Provider Identifier
1194852467
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
13268 Issued in CA
Practice address
200 W Campbell Ave
Campbell, CA 95008-1030
Phone
(408) 337-2767
Fax
(408) 337-2767
NPI assigned
Feb 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 13268 CA Primary
Advanced Practice Midwife 367A00000X CNM1358 CA
Family Nurse Practitioner 363LF0000X NP13268 CA

Addresses

Primary practice location

200 W Campbell Ave
Campbell, CA 95008-1030

Mailing address

199 Leal Way
Fremont, CA 94539-3903
Phone (510) 449-1002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050422000568 CA Practitioner - Nurse Practitioner 5890733596 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP13268CAMDFamily Nurse Practitioner
CNM1358CAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
County of San Mateo CurrentSince Jun 6, 2020 Accepting new patients
County of San Mateo CurrentSince Jun 6, 2020 Accepting new patients
County of San Mateo CurrentSince Jun 6, 2020 Accepting new patients

Locations

222 W 39th Ave
San Mateo, CA 94403
Phone (415) 573-2222

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1194852467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 LEAL WAY",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945393903",
            "telephone_number": "510-449-1002",
            "fax_number": "408-337-2767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W CAMPBELL AVE",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950081030",
            "telephone_number": "408-337-2767",
            "fax_number": "408-337-2767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVARKAR",
        "first_name": "MILAN",
        "middle_name": "GUPTA",
        "name_prefix": "Ms.",
        "credential": "CNM, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "13268",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CA",
            "license": "CNM1358",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP13268",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbell, CA

Sources for this page

Verify at the official NPI Registry.